Organization
COMPREHENSIVE HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY OBED PENA (ASSISTANT ADMINISTRATOR)
(414) 585-0083
Entity
Organization
Contact information
Practice address
2800 W FOREST HOME AVE, MILWAUKEE, WI 53215-2945
(414) 585-0083
(414) 252-5090
Mailing address
2800 W FOREST HOME AVE, MILWAUKEE, WI 53215-2945
(414) 585-0083
(414) 252-5090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100035439
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035439
—
WI
Enumeration date
01/17/2018
Last updated
01/17/2018
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